Provider Demographics
NPI:1740520923
Name:ARTINO, MARY L (MSW)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:L
Last Name:ARTINO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5604 LA PAZ ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4844
Mailing Address - Country:US
Mailing Address - Phone:562-743-7800
Mailing Address - Fax:562-961-3529
Practice Address - Street 1:5604 LA PAZ ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4844
Practice Address - Country:US
Practice Address - Phone:562-743-7800
Practice Address - Fax:562-961-3529
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker